MALAVIKA PRASANNA DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019028441

License Status

NOT RENEWED

Business

First Name

MALAVIKA

Last Name

PRASANNA DDS

Business Name

MALAVIKA PRASANNA DDS

Original Issue Date

07/20/2010

Effective Date

09/12/2012

Expiration Date

09/30/2015

City

CHICAGO

State

Zip

60661

County

COOK

Ever Disciplined

LastModifiedDate

02/08/2016